Summary of Benefits and Coverage (SBC)

We list here all of the Summaries of Benefits and Coverage for our health plans. These documents are designed to help you better understand your coverage. If you would like to receive a paper copy of an SBC, please contact us.

Select Service Area
Select Year

Clark County, WASHINGTON

Regence Direct Bronze Plans

Regence Direct Bronze HSA
Regence Direct Bronze HSA+

Regence Direct Silver Plans

Regence Direct Silver Regence Direct Silver with Dental, Vision and IAP
Regence Direct Silver+ Regence Direct Silver+ with Dental, Vision and IAP
Regence Direct Silver HSA

Regence Direct Gold Plans

Regence Direct Gold Regence Direct Gold with Dental, Vision and IAP
Regence Direct Gold+ High Regence Direct Gold+ High with Dental, Vision and IAP

Regence Direct Platinum Plans

Regence Direct Platinum High Regence Direct Platinum High with Dental, Vision and IAP

IDAHO

Regence Direct Bronze Plans

Regence Direct Bronze HSA Regence Direct Bronze HSA with Dental, Vision and IAP
Regence Direct Bronze HSA+ Regence Direct Bronze HSA+ with Dental, Vision and IAP
Regence Direct Bronze Regence Direct Bronze with Dental, Vision and IAP

Regence Direct Silver Plans

Regence Direct Silver HSA Regence Direct Silver HSA with Dental, Vision and IAP
Regence Direct Silver+ Regence Direct Silver+ with Dental, Vision and IAP

Regence Direct Gold Plans

Regence Direct Gold+ Regence Direct Gold+ with Dental, Vision and IAP

Regence Direct Platinum Plans

Regence Direct Platinum Regence Direct Platinum with Dental, Vision and IAP

OREGON

Regence Direct Bronze Plans

Regence Oregon Standard Bronze Plan
Regence Direct Bronze HSA 100 Regence Direct Bronze HSA 100 with Dental, Vision, and Individual Assistance Program (IAP)

Regence Standard Bronze Narrow Network Plans

Regence Oregon Standard Bronze Legacy Health
Regence Oregon Standard Bronze MyChoice Northwest
Regence Oregon Standard Bronze Mid-Valley
Regence Oregon Standard Bronze Preferred
Regence Oregon Standard Bronze Willamette Valley Health Solutions

Regence Direct Silver Plans

Regence Direct Silver HSA Regence Direct Silver HSA with Dental, Vision, and Individual Assistance Program (IAP)
Regence Direct Silver+ Regence Direct Silver+ with Dental, Vision, and Individual Assistance Program (IAP)

Regence Standard Silver Narrow Network Plans

Regence Oregon Standard Silver Legacy Health
Regence Oregon Standard Silver MyChoice Northwest
Regence Oregon Standard Silver Mid-Valley
Regence Oregon Standard Silver Preferred
Regence Oregon Standard Silver Willamette Valley Health Solutions

Regence Direct Gold Plans

Regence Direct Gold+ Regence Direct Gold+ with Dental, Vision, and Individual Assistance Program (IAP)

UTAH

Regence Direct Bronze Plans

Regence Direct Bronze HSA Regence Direct Bronze HSA with Dental, Vision and IAP
Regence Direct Bronze HSA+

Regence Direct Silver Plans

Regence Direct Silver+ Regence Direct Silver+ with Dental, Vision and IAP
Regence Direct Silver HSA Regence Direct Silver HSA with Dental, Vision and IAP

Regence Direct Gold Plans

Regence Direct Gold Regence Direct Gold with Dental, Vision and IAP
Regence Direct Gold+ Regence Direct Gold+ with Dental, Vision and IAP
Regence Direct Gold HSA

WASHINGTON

Regence Direct Bronze Plans

Regence Direct Bronze HSA Medical only Regence Direct Bronze HSA with Dental, Vision, and Individual Assistance Program (IAP)
Regence Direct Bronze HSA+ Medical only

Regence Direct Bronze Narrow Network Plans

Regence Direct Bronze HSA+ UW Medicine
Regence Direct Bronze HSA+ The Everett Clinic
Regence Direct Bronze HSA+ MultiCare Health System
Regence Direct Bronze HSA+ EvergreenHealth Partners

Regence Direct Silver Plans

Regence Direct Silver Regence Direct Silver with Dental, Vision and IAP
Regence Direct Silver+ Regence Direct Silver+ with Dental, Vision and IAP
Regence Direct Silver HSA

Regence Direct Silver Narrow Network Plans

Regence Direct Silver+ UW Medicine Regence Direct Silver+ UW Medicine with Dental, Vision and IAP
Regence Direct Silver HSA UW Medicine
Regence Direct Silver+ The Everett Clinic Regence Direct Silver+ The Everett Clinic with Dental, Vision and IAP
Regence Direct Silver HSA The Everett Clinic
Regence Direct Silver+ MultiCare Health System Regence Direct Silver+ MultiCare Health System with Dental, Vision and IAP
Regence Direct Silver HSA MultiCare Health System
Regence Direct Silver+ EvergreenHealth Partners Regence Direct Silver+ EvergreenHealth Partners with Dental, Vision and IAP
Regence Direct Silver HSA EvergreenHealth Partners

Regence Direct Gold Plans

Regence Direct Gold Regence Direct Gold with Dental, Vision and IAP
Regence Direct Gold+ High Regence Direct Gold+ High with Dental, Vision and IAP

Regence Direct Gold Narrow Network Plans

Regence Direct Gold+ High UW Medicine Regence Direct Gold+ High UW Medicine with Dental, Vision and IAP
Regence Direct Gold+ High The Everett Clinic Regence Direct Gold+ High The Everett Clinic with Dental, Vision and IAP
Regence Direct Gold+ High MultiCare Health System Regence Direct Gold+ High MultiCare Health System with Dental, Vision and IAP
Regence Direct Gold+ High EvergreenHealth Partners Regence Direct Gold+ High EvergreenHealth Partners with Dental, Vision and IAP

Regence Direct Platinum Plans

Regence Direct Platinum High Regence Direct Platinum High with Dental, Vision, Individual Assistance Program (IAP)

Regence Direct Platinum Narrow Network Plans

Regence Direct Platinum High UW Medicine Regence Direct Platinum High UW Medicine with Dental, Vision and IAP
Regence Direct Platinum High The Everett Clinic Regence Direct Platinum High The Everett Clinic with Dental, Vision and IAP
Regence Direct Platinum High MultiCare Health System Regence Direct Platinum High MultiCare Health System with Dental, Vision and IAP
Regence Direct Platinum High EvergreenHealth Partners Regence Direct Platinum High EvergreenHealth Partners with Dental, Vision and IAP

OREGON PLANS

PLAN DOCUMENTS

Regence Bronze Plans

Regence Oregon Standard Bronze SBC Individual policy booklet
Regence Oregon Standard Bronze Plan + Dental, Vision and IAP SBC
 
Regence Oregon Bronze HSA 6550 SBC Individual policy booklet
Regence Oregon Bronze HSA 6550 + Dental, Vision and IAP SBC
 
Regence Oregon Bronze Essential 6850 SBC Individual policy booklet
Regence Oregon Bronze Essential 6850 + Dental, Vision and IAP SBC
 

Regence Silver Plans

Regence Oregon Silver Standard Plan SBC Individual policy booklet
Regence Oregon Standard Silver Plan + Dental, Vision and IAP SBC
 
Regence Oregon Silver HSA 2000 SBC Individual policy booklet
Regence Oregon Silver HSA 2000 + Dental, Vision and IAP SBC
 
Regence Oregon Silver 3000 SBC Individual policy booklet
Regence Oregon Silver 3000 + Dental, Vision and IAP SBC
 

Regence Gold Plans

Regence Oregon Gold 750 SBC Individual policy booklet
Regence Oregon Gold 750 + Dental, Vision and IAP SBC

IDAHO PLANS

PLAN DOCUMENTS

Regence Bronze Plans

Regence Idaho Bronze HSA 5000 SBC Individual policy booklet
Regence Idaho Bronze HSA 5000 + Dental, Vision and IAP SBC
 
Regence Idaho Bronze Essential 6850 SBC Individual policy booklet
Regence Idaho Bronze Essential 6850 + Dental, Vision and IAP SBC
 

Regence Silver Plans

Regence Idaho Silver 3000 SBC Individual policy booklet
Regence Idaho Silver 3000 + Dental, Vision and IAP SBC
 
Regence Idaho Silver HSA 2500 SBC Individual policy booklet
Regence Idaho Silver HSA 2500 + Dental, Vision and IAP SBC
 

Regence Gold Plans

Regence Idaho Gold 1000 SBC Individual policy booklet
Regence Idaho Gold 1000 + Dental, Vision and IAP SBC

UTAH PLANS

PLAN DOCUMENTS

Regence Bronze Plans

Regence Utah Bronze HSA 5000 SBC Individual policy booklet
Regence Utah Bronze HSA 5000 + Dental, Vision and IAP SBC
 
Regence Utah Bronze HSA 5000 EPO SBC Individual policy booklet
Regence Utah Bronze HSA 5000 EPO + Dental, Vision and IAP SBC

Regence Silver Plans

Regence Utah Silver HSA 2500 SBC Individual policy booklet
Regence Utah Silver HSA 2500 + Dental, Vision and IAP SBC
 
Regence Utah SIlver 3000 EPO SBC Individual policy booklet
Regence Utah SIlver 3000 EPO + Dental, Vision and IAP SBC

Regence Gold Plans

Regence Utah Gold 1000 EPO SBC Individual policy booklet
Regence Utah Gold 1000 EPO + Dental, Vision and IAP SBC

WASHINGTON PLANS

PLAN DOCUMENTS

Regence Bronze Plans

Regence BlueShield Regence Bronze HSA 5000 Preferred SBC Individual policy booklet
Regence BlueShield Regence Bronze HSA 5000 Preferred + Dental and Vision SBC
 
Regence Bronze Essential 6850 Preferred SBC Individual policy booklet
Regence Bronze Essential 6850 Preferred + Dental and Vision SBC

Regence Silver Plans

Regence Silver 3000 Preferred SBC Individual policy booklet
Regence Silver 3000 Preferred + Dental and Vision SBC
 
Regence Silver Connect 4000 The Everett Clinic SBC Individual policy booklet
Regence Silver Connect 4000 The Everett Clinic + Dental and Vision SBC
 
Regence Silver Connect 4000 MultiCare SBC Individual policy booklet
Regence Silver Connect 4000 MultiCare + Dental and Vision SBC
 
Regence Silver Connect 4000 UW Medicine SBC Individual policy booklet
Regence Silver Connect 4000 UW Medicine + Dental and Vision SBC
 
Regence Silver Connect 4000 EvergreenHealth Partners/Virginia Mason SBC Individual policy booklet
Regence Silver Connect 4000 EvergreenHealth Partners/Virginia Mason + Dental and Vision SBC
 
Regence Silver HSA 2500 Preferred SBC Individual policy booklet
Regence Silver HSA 2500 Preferred + Dental and Vision SBC

Regence Gold Plans

Regence Gold 1000 Preferred SBC Individual policy booklet
Regence Gold 1000 Preferred + Dental and Vision SBC
 
Regence Gold Connect 1500 UW Medicine SBC Individual policy booklet
Regence Gold Connect 1500 UW Medicine + Dental and Vision SBC
 
Regence Gold Connect 1500 MultiCare SBC Individual policy booklet
Regence Gold Connect 1500 MultiCare + Dental and Vision SBC
 
Regence Gold Connect 1500 EvergreenHealth Partners/Virginia Mason SBC Individual policy booklet
Regence Gold Connect 1500 EvergreenHealth Partners/Virginia Mason + Dental and Vision SBC
 
RRegence Gold Connect 1500 The Everett Clinic SBC Individual policy booklet
Regence Gold Connect 1500 The Everett Clinic + Dental and Vision SBC

CLARK COUNTY, WA PLANS

PLAN DOCUMENTS

Regence Bronze Plans

Regence BlueCross BlueShield of Oregon: Regence Bronze HSA 5000 Preferred SBC Individual policy booklet
Regence BlueCross BlueShield of Oregon: Bronze HSA 5000 Preferred + Dental and Vision SBC Individual policy booklet
Regence BlueCross BlueShield of Oregon: Regence Bronze HSA 5000 Legacy Health SBC Individual policy booklet
Regence BlueCross BlueShield of Oregon: Regence Bronze HSA 5000 Legacy Health + Dental and Vision SBC Individual policy booklet
 
Regence BlueCross BlueShield of Oregon: Regence Bronze Essential 6850 Legacy Health SBC Individual policy booklet
Regence BlueCross BlueShield of Oregon: Regence Bronze Essential 6850 Legacy Health + Dental and Vision SBC Individual policy booklet

Regence Silver Plans

Regence BlueCross BlueShield of Oregon: Silver HSA 2500 Preferred SBC Individual policy booklet
Regence BlueCross BlueShield of Oregon: Silver HSA 2500 Preferred + Dental and Vision SBC Individual policy booklet
Regence BlueCross BlueShield of Oregon: Silver HSA 2500 Legacy Health SBC Individual policy booklet
Regence BlueCross BlueShield of Oregon: Silver HSA 2500 Legacy Health + Dental and Vision SBC Individual policy booklet
 
Regence BlueCross BlueShield of Oregon: Silver 3000 Preferred SBC Individual policy booklet
Regence BlueCross BlueShield of Oregon: Silver 3000 Preferred + Dental and Vision SBC Individual policy booklet
 
Regence Oregon Regence Silver Connect 4000 Legacy Health SBC Individual policy booklet
Regence Oregon Regence Silver Connect 4000 Legacy Health + Dental and Vision SBC Individual policy booklet

Regence Gold Plans

Regence Oregon Regence Gold 1000 Preferred SBC Individual policy booklet
Regence Oregon Regence Gold 1000 Preferred + Dental and Vision SBC Individual policy booklet
 
Regence Oregon Regence Gold Connect 1500 Legacy Health SBC Individual policy booklet
Regence Oregon Regence Gold Connect 1500 Legacy Health + Dental and Vision SBC Individual policy booklet

Washington Plans 2017

Plan Documents

Regence Bronze Plans

Bronze HSA 5000 Preferred SBC Individual policy booklet
Bronze HSA 5000 Preferred + Dental and Vision SBC Individual policy booklet
 
Bronze Essential 7150 EPO Preferred SBC Individual policy booklet
Bronze Essential 7150 EPO Preferred + Dental and Vision SBC Individual policy booklet
 

Regence Silver Plans

Silver 3000 Preferred SBC Individual policy booklet
Silver 3000 Preferred + Dental and Vision SBC Individual policy booklet
 
Silver Connect 4000 UW Medicine SBC Individual policy booklet
Silver Connect 4000 UW Medicine + Dental and Vision SBC Individual policy booklet
 
Silver Connect 4000 MultiCare Connected Care SBC Individual policy booklet
Silver Connect 4000 MultiCare Connected Care + Dental and Vision SBC Individual policy booklet
 
Silver Connect 4000 The Everett Clinic SBC Individual policy booklet
Silver Connect 4000 The Everett Clinic + Dental and Vision SBC Individual policy booklet
 
Silver Connect 4000 EvergreenHealth Partners-Virginia Mason SBC Individual policy booklet
Silver Connect 4000 EvergreenHealth Partners-Virginia Mason + Dental and Vision SBC Individual policy booklet
 
Silver HSA 2500 Preferred SBC Individual policy booklet
Silver HSA 2500 Preferred + Dental and Vision SBC Individual policy booklet
 

Regence Gold Plans

Gold 1000 Preferred SBC Individual policy booklet
Gold 1000 Preferred + Dental and Vision SBC Individual policy booklet
 
Gold Connect 1500 UW Medicine SBC Individual policy booklet
Gold Connect 1500 UW Medicine + Dental and Vision SBC Individual policy booklet
 
Gold Connect 1500 MultiCare Connected Care SBC Individual policy booklet
Gold Connect 1500 MultiCare Connected Care + Dental and Vision SBC Individual policy booklet
 
Gold Connect 1500 The Everett Clinic SBC Individual policy booklet
Gold Connect 1500 The Everett Clinic + Dental and Vision SBC Individual policy booklet
 
Gold Connect 1500 EvergreenHealth Partners-Virginia Mason SBC Individual policy booklet
Gold Connect 1500 EvergreenHealth Partners-Virginia Mason + Dental and Vision SBC Individual policy booklet

Oregon Plans 2017

Plan Documents

Regence Bronze Plans

Regence Standard Bronze Plan ValuePPO SBC Individual policy booklet
Regence Standard Bronze Plan ValuePPO + Dental and Vision SBC Individual policy booklet
 
Bronze HSA 5000 ValuePPO SBC Individual policy booklet
Bronze HSA 5000 ValuePPO + Dental and Vision SBC Individual policy booklet
 
Bronze Essential 7150 ValuePPO SBC Individual policy booklet
Bronze Essential 7150 ValuePPO + Dental and Vision SBC Individual policy booklet
 
Bronze Essential 7150 EPO ValuePPO SBC Individual policy booklet
Bronze Essential 7150 EPO ValuePPO + Dental and Vision SBC Individual policy booklet
 

Regence Silver Plans

Regence Standard Silver Plan ValuePPO SBC Individual policy booklet
Regence Standard Silver Plan ValuePPO SBC Individual policy booklet
 
Silver 3000 ValuePPO SBC Individual policy booklet
Silver 3000 ValuePPO + Dental and Vision SBC Individual policy booklet
 
Silver HSA 2500 ValuePPO SBC Individual policy booklet
Silver HSA 2500 ValuePPO + Dental and Vision SBC Individual policy booklet
 

Regence Gold Plans

Gold 1000 ValuePPO SBC Individual policy booklet
Gold 1000 ValuePPO + Dental and Vision SBC Individual policy booklet

Utah Plans 2017

Plan Documents

Regence Bronze Plans

Bronze HSA 5000 EPO Preferred ValueCare SBC Individual policy booklet
Bronze HSA 5000 EPO Preferred ValueCare + Dental and Vision SBC Individual policy booklet
 
Bronze HSA 5000 EPO FocalPoint SBC Individual policy booklet
Bronze HSA 5000 EPO FocalPoint + Dental and Vision SBC Individual policy booklet
 
Bronze Essential 7150 EPO Preferred ValueCare SBC Individual policy booklet
Bronze Essential 7150 EPO Preferred ValueCare + Dental and Vision SBC Individual policy booklet
 
Bronze Essential 7150 EPO FocalPoint SBC Individual policy booklet
Bronze Essential 7150 EPO FocalPoint + Dental and Vision SBC Individual policy booklet
 

Regence Silver Plans

Silver 3000 EPO Preferred ValueCare SBC Individual policy booklet
Silver 3000 EPO Preferred ValueCare + Dental and Vision SBC Individual policy booklet
 
Silver 3000 EPO FocalPoint SBC Individual policy booklet
Silver 3000 EPO FocalPoint + Dental and Vision SBC Individual policy booklet
 
Silver HSA 2500 EPO Preferred ValueCare SBC Individual policy booklet
Silver HSA 2500 EPO Preferred ValueCare + Dental and Vision SBC Individual policy booklet
 
Silver HSA 2500 EPO FocalPoint SBC Individual policy booklet
Silver HSA 2500 EPO FocalPoint + Dental and Vision SBC Individual policy booklet
 
Silver Essential 3500 EPO Preferred ValueCare SBC Individual policy booklet
Silver Essential 3500 EPO Preferred ValueCare + Dental and Vision SBC Individual policy booklet
 
Silver Essential 3500 EPO FocalPoint SBC Individual policy booklet
Silver Essential 3500 EPO FocalPoint + Dental and Vision SBC Individual policy booklet
 

Regence Gold Plans

Gold 1000 EPO Preferred ValueCare SBC Individual policy booklet
Gold 1000 EPO Preferred ValueCare + Dental and Vision SBC Individual policy booklet
 
Gold 1000 EPO FocalPoint SBC Individual policy booklet
Gold 1000 EPO FocalPoint + Dental and Vision SBC Individual policy booklet

Clark County, WA Plans 2017

Plan Documents

Regence Bronze Plans

Bronze HSA 5000 Preferred SBC Individual policy booklet
Bronze HSA 5000 Preferred + Dental and Vision SBC Individual policy booklet
 
Bronze Essential 7150 EPO Preferred SBC Individual policy booklet
Bronze Essential 7150 EPO Preferred + Dental and Vision SBC Individual policy booklet
 

Regence Silver Plans

Silver 3000 Preferred SBC Individual policy booklet
Silver 3000 Preferred + Dental and Vision SBC Individual policy booklet
 
Silver HSA 2500 Preferred SBC Individual policy booklet
Silver HSA 2500 Preferred + Dental and Vision SBC Individual policy booklet
 

Regence Gold Plans

Gold 1000 Preferred SBC Individual policy booklet
Gold 1000 Preferred + Dental and Vision SBC Individual policy booklet

Idaho Plans 2017

Plan Documents

Regence Bronze Plans

Bronze HSA 5000 SBC Individual policy booklet
Bronze HSA 5000 + Dental and Vision SBC Individual policy booklet
 
EPO Bronze Essential 7150 SBC Individual policy booklet
EPO Bronze Essential 7150 + Dental and Vision SBC Individual policy booklet
 

Regence Silver Plans

Silver 3000 SBC Individual policy booklet
Silver 3000 + Dental and Vision SBC Individual policy booklet
 
Silver HSA 2500 SBC Individual policy booklet
Silver HSA 2500 + Dental and Vision SBC Individual policy booklet
 
Silver Essential 3500 SBC Individual policy booklet
Silver Essential 3500 + Dental and Vision SBC Individual policy booklet
 

Regence Gold Plans

Gold 1000 SBC Individual policy booklet
Gold 1000 + Dental and Vision SBC Individual policy booklet